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Constipation in children and young people

Results 1-10 of 12

Guidance ID NICE 'do not do' recommendation Interventions
CG99 Do not use gastrointestinal endoscopy to investigate idiopathic constipation. gastrointestinal endoscopy
CG99 Do not use anorectal manometry to exclude Hirschsprung s disease in children and young people with chronic constipation. anorectal manometry
CG99 Do not use a plain abdominal radiograph to make a diagnosis of idiopathic constipation. plain abdominal radiograph
CG99 Do not perform rectal biopsy unless any of the following clinical features of Hirschsprung s disease are or have been present: delayed passage of meconium (more than 48 hours after birth in term babies); constipation since first few weeks of life; chronic abdominal distension plus vomiting; family history of Hirschsprung s disease; faltering growth in addition to any of the previous features. rectal biopsy
CG99 Do not use transit studies to make a diagnosis of idiopathic constipation. transit studies
CG99 Do not use abdominal ultrasound to make a diagnosis of idiopathic constipation. abdominal ultrasound
CG99 Do not use rectal medications for disimpaction unless all oral medications have failed and only if the child or young person and their family consent. rectal medications
CG99 Do not administer phosphate enemas for disimpaction unless under specialist supervision in hospital/health centre/clinic, and only if all oral medications and sodium citrate enemas have failed. phosphate enemas
CG99 Do not perform manual evacuation of the bowel under anaesthesia unless optimum treatment with oral and rectal medications has failed. manual evacuation of the bowel
CG99 Do not use dietary interventions alone as first-line treatment for idiopathic constipation. dietary interventions

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This page was last updated: 28 March 2014

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Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.